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Breanne Checketts Martin

NPI 1851024160ActiveIndividual· Physician Assistant· Longmeadow, MA

Physician Assistant in Longmeadow, Massachusetts, licensed in NV, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1851024160
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 5, 2022
Last updated in NPPESOct 15, 2024
Certified by providerOct 15, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA3076NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NV)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Longmeadow

All 36 physician assistants in Longmeadow · All physician assistants in Massachusetts